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features and benefits


Reduce costs, manage risk, improve outcomes

Medical Benefit Management (MBM) offers an integrated suite of benefit management services. 

These services help health plans and self-insured employers reduce total cost of care, manage organizational risk and improve outcomes for members facing complex disease states.

MBM relies on a four-pronged strategy of network management, utilization management, care management and claim review.

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MBM strategies

  • Care management
  • Utilization management
  • COE/Network
  • Focused claims review

By combining these condition-centric capabilities with flexible funding models, including full risk transfer, MBM delivers the greatest impact to the patients and payers who need it most.

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How we help


Contact us

Call: 1-866-427-6845

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